Individual
JODY L VAN VEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1290
(641) 628-6629
Mailing address
746 RODEO AVE, MONROE, IA 50170-8787
(641) 521-1351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A093648
IA
363LF0000X
Family Nurse Practitioner
A093648
IA
363LP2300X
Primary Care Nurse Practitioner
A093648
IA
Other
Enumeration date
09/20/2018
Last updated
01/03/2024
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